- Apply to Participate
To apply, download and complete the Memorandum of Understanding (MOU) below and email a signed copy to Jessica Rudnick at firstname.lastname@example.org.
- Once received, further guidance will be provided via email.
- Complete SAMHSA DATA 2000 Waiver Requirements
- Request Stipend
To request stipend, download and complete the W-9 form below and email a signed copy to Jessica Rudnick at email@example.com, including the following documentation:
- Copy of training certificate(s) of completion
- SAMHSA email and letter confirming waiver has been issued